Altered melatonin secretion and circadian gene expression with increased proinflammatory cytokine expression in early-stage sepsis patients

  • Authors:
    • Cai-Xia Li
    • Dong-Dong Liang
    • Guo-Hao Xie
    • Bao-Li Cheng
    • Qi-Xing Chen
    • Shui-Jing Wu
    • Jun-Lu Wang
    • William Cho
    • Xiang-Ming Fang
  • View Affiliations

  • Published online on: February 20, 2013     https://doi.org/10.3892/mmr.2013.1331
  • Pages: 1117-1122
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Abstract

Inflammatory and immune responses, as well as melatonin secretion, are affected by circadian regulation. Abnormal circadian rhythm of melatonin release has been reported to be associated with the later stages of sepsis; however, its role in the early stages of sepsis is unclear. We studied 11 septic and 11 non-septic patients in our intensive care unit (ICU). Peripheral blood was drawn at 4-h intervals on the first day, beginning at 2:00 p.m., over a total period of 24 h. Plasma levels of melatonin, tumor necrosis factor α (TNF-α) and interleukin 6 (IL-6) were measured by radioimmunoassay or enzyme-linked immunosorbent assay (ELISA). Messenger RNA levels of circadian genes Cry-1 and Per-2 were analyzed using quantitative real-time PCR. Results show the circadian rhythm of melatonin secretion was altered in the early stages of sepsis. The melatonin secretion acrophase occurred earlier in septic patients at 6:00 p.m., compared with at 2:00 a.m. in non-septic ICU patients. Compared with the non-septic group, both Cry-1 and Per-2 expression were significantly decreased while TNF-α and IL-6 expression were significantly increased in septic patients [TNF-α, 64.1 (43.6-89.1) vs. 11.4 (10.4‑12.5) ng/ml; IL-6, 41.2 (35.7-50.8) vs. 19.1 (16-136.7) ng/ml; median (range), both P=0.04]. The peak concentrations of TNF-α and IL-6 were shown to be in concordance with the rhythm of melatonin secretion. The circadian rhythm of melatonin secretion and circadian gene expression were altered in the early stages of sepsis, which likely led to the changes in pro-inflammatory cytokine release. These findings shed light on the potential link between circadian rhythm and the progression of early‑stage sepsis.
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April 2013
Volume 7 Issue 4

Print ISSN: 1791-2997
Online ISSN:1791-3004

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Spandidos Publications style
Li C, Liang D, Xie G, Cheng B, Chen Q, Wu S, Wang J, Cho W and Fang X: Altered melatonin secretion and circadian gene expression with increased proinflammatory cytokine expression in early-stage sepsis patients. Mol Med Rep 7: 1117-1122, 2013
APA
Li, C., Liang, D., Xie, G., Cheng, B., Chen, Q., Wu, S. ... Fang, X. (2013). Altered melatonin secretion and circadian gene expression with increased proinflammatory cytokine expression in early-stage sepsis patients. Molecular Medicine Reports, 7, 1117-1122. https://doi.org/10.3892/mmr.2013.1331
MLA
Li, C., Liang, D., Xie, G., Cheng, B., Chen, Q., Wu, S., Wang, J., Cho, W., Fang, X."Altered melatonin secretion and circadian gene expression with increased proinflammatory cytokine expression in early-stage sepsis patients". Molecular Medicine Reports 7.4 (2013): 1117-1122.
Chicago
Li, C., Liang, D., Xie, G., Cheng, B., Chen, Q., Wu, S., Wang, J., Cho, W., Fang, X."Altered melatonin secretion and circadian gene expression with increased proinflammatory cytokine expression in early-stage sepsis patients". Molecular Medicine Reports 7, no. 4 (2013): 1117-1122. https://doi.org/10.3892/mmr.2013.1331